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Organization
FAMILY REENTRY
Active
Organization
FAMILY REENTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE LANZA (EXECUTIVE DIRECTOR)
(203) 838-0496
Entity
Organization
Contact information
Practice address
9 MOTT AVE, NORWALK, CT 06850-3330
(203) 838-0496
(203) 866-9291
Mailing address
9 MOTT AVE, NORWALK, CT 06850-3330
(203) 838-0496
(203) 866-9291
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
02/03/2014
Last updated
03/18/2014
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